Management of Extrahepatic Bile Duct Injury Complicating with laparoscopic Cholecystectomy - an Experience of the Magnetic Compression Anastomosis between the Common Bile Duct and the Duodenum -

Creators Hiraki Sakurao

Creators Tokuhisa Yoshihiro

Creators Morita Katuhiko

Creators Kawaoka Tohru

Creators Fukuda Shintaro

Creators Okamoto Takeshi

Creators Sanuki Kazutoshi

Creators Yamanouchi Eigoro

Choledochoduodenostomy was performed using magnets interventionally in a patient with complete obstruction of the common bile duct (CBD) after laparoscopic cholecystectomy (Lap-C). Choledochoduodenostomy using magnets was performed 6 months after Lap-C. A cylindrical magnet measuring 4 mm in diameter and 9 mm in length was delivered to the obstructed CBD through percutaneous transhepatic biliary drainage route that was dilated to 14 French. Then a cylindrical magnet measuring 5 mm in diameter and 5 mm n length was delivered at the bulbus of the duodenum using peroral endoscopy. Anastomosis between the CBD and the duodenum was formed gradually by the force of compression between the two magnets. Two weeks later, the anastomossiwas accomplished without any adverse event. Magnetic compression anastomosis is one of useful strategy for biliary complications (Stenosis or obstruction) after Lap-C.

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